Evidence map›Paper›PMID 41810266›Full record

ArticleJournal of nursing management2026

Nurses' Cross-Border Work Intentions Driven by Psychological Empowerment: A Cross-Sectional Study.

Ruoxuan Zhang, Xin Wang, Angela Y M Leung, Xiaoyan Jin, Hongxia Dai, Yan Wang, June Zhang, Renli Deng, Angela C Y Poon, Ka Wa Mio and 1 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Ruoxuan ZhangFaculty of Health Sciences and Sports, Macao Polytechnic University, Macao, China, mpu.edu.mo.ORCID https://orcid.org/0000-0003-0686-5489
Xin WangFaculty of Health Sciences and Sports, Macao Polytechnic University, Macao, China, mpu.edu.mo.ORCID https://orcid.org/0000-0002-8004-1376
Angela Y M LeungSchool of Nursing, The Hong Kong Polytechnic University, Hong Kong, China, polyu.edu.hk.ORCID https://orcid.org/0000-0002-9836-1925
Xiaoyan JinPeking University Health Science Center-Macao Polytechnic University Nursing Academy, Macao Polytechnic University, Macao, China, bjmu.edu.cn.ORCID https://orcid.org/0009-0000-3936-3405
Hongxia DaiPeking University Health Science Center-Macao Polytechnic University Nursing Academy, Macao Polytechnic University, Macao, China, bjmu.edu.cn.ORCID https://orcid.org/0009-0008-2530-6598
Yan WangPeking University Health Science Center-Macao Polytechnic University Nursing Academy, Macao Polytechnic University, Macao, China, bjmu.edu.cn.ORCID https://orcid.org/0000-0002-4609-3033
June ZhangSchool of Nursing, Sun Yat-Sen University, Guangzhou, China, sysu.edu.cn.ORCID https://orcid.org/0000-0002-6599-702X
Renli DengDepartment of Nursing, Zunyi Medical University, Zunyi, China, zmc.edu.cn.ORCID https://orcid.org/0009-0008-7879-2139
Angela C Y PoonPeking University Health Science Center-Macao Polytechnic University Nursing Academy, Macao Polytechnic University, Macao, China, bjmu.edu.cn.ORCID https://orcid.org/0000-0003-0098-2924
Ka Wa MioPeking University Health Science Center-Macao Polytechnic University Nursing Academy, Macao Polytechnic University, Macao, China, bjmu.edu.cn.ORCID https://orcid.org/0009-0009-8941-806X
Ming LiuPeking University Health Science Center-Macao Polytechnic University Nursing Academy, Macao Polytechnic University, Macao, China, bjmu.edu.cn.ORCID https://orcid.org/0000-0002-1727-6762

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Given the globalization of the nursing workforce, psychological empowerment represents a critical intrinsic determinant of nurses' mobility intentions, specifically regarding cross-border work. Aim: To identify latent profiles of nurses' psychological empowerment, examine associated factors, and explore the relationship between these profiles and cross-border working intention. Methods: A cross-sectional multicenter study was conducted from March to September 2023. Using convenience sampling, clinical nurses were recruited through liaisons from nursing societies in nine cities of Guangdong Province. Data were collected through questionnaires covering sociodemographic questionnaire, psychological empowerment, and cross-border working intention, with analyses including chi-square tests, logistic regression, and latent profile analysis (LPA) performed using SPSS 23.0 and Mplus 8.3. Results: A total of 3671 valid questionnaires were collected, and 39.5% of the respondents reported cross-border intentions. LPA identified three psychological empowerment profiles among nurses, ranked from high to low: the core-driven empowerment profile (16.94%), the adaptive empowerment profile (70.42%), and the constrained empowerment profile (12.64%). The nurses with lower salary, intermediate title, and without specialist nurse qualification were more likely to fall into the constrained empowerment profile. Psychological empowerment was positively correlated with nurses' cross-border work intention. The core-driven profile showed the highest cross-border work intention (50.6%), followed by the adaptive (38.2%) and constrained profiles (31.7%). For cross-border work, the constrained profile prioritized salary (87.1%) as the key concern, while the core-driven profile focused more on good promotion opportunities (70.3%). Conclusion: Psychological empowerment exerts a positive impact on clinical nurses' cross-border work intention, with the three identified empowerment profiles exhibiting divergent motivational priorities and decision logics. These findings highlight the need for subgroup-specific strategies to balance nursing workforce mobility and stability. Implications for Nursing Management: The findings support a differentiated human resource strategy based on nurses' psychological empowerment profiles. For core-driven nurses, institutions should provide international career development channels to strengthen their domestic job embeddedness. For adaptive nurses, tailored skill training and decision-making autonomy should be offered to guide their mobility aspirations. For constrained nurses, competitive compensation and family support services should be prioritized to address their stability needs and rebuild professional confidence. These targeted measures balance talent mobility and domestic workforce stability.

Indexed as

EmpowermentIntentionNursesPower, PsychologicalAdultChinaCross-Sectional StudiesFemaleHumansJob SatisfactionMaleMiddle AgedSurveys and Questionnairesclinical nursescross-border work intentionlatent profile analysispsychological empowerment

Identifiers

PMID41810266
PMCPMC12968889

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.